Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7659 | AZ |
NPI | 1003807967 |
---|---|
Provider Name | Dr. A. Steven Enriquez |
First Address | Higley, AZ 85236-5872 |
Second Address | Tempe, AZ 85282-7059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 07/05/2012 |